oa SA Pharmaceutical Journal - The returning traveller with fever : travel medicine : clinical
Thorough history of illness and travel movements is essential. <BR>Ask about existing medical conditions. <BR>Focus initially on diagnosing infections that are dangerous for patient and community. <BR>Skin lesions are important clues to many travel-related infections. <BR>Malaria must always be considered in a traveller with fever and flu-like symptoms. <BR>Tick bite fever is common in travellers in Africa, and the typical rash may be absent. <BR>Fever, rash and arthritis is suggestive of arboviral infections. <BR>Fever and eosinophilia is commonly due to acute schistosomiasis (Katayama fever). <BR>Full blood count, blood smear examination, and liver function tests are obligatory initial investigations. <BR>Getting a diagnosis before treatment is ideal, but must be balanced against the need to treat severe illness.
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